15例术后下肢血栓性静脉炎的诊治体会

Experience of treatment to 15 cases of lower limb thrombophlebitis

目的探讨术后下肢血栓性静脉炎的早期诊断及有效治疗方法。方法回顾分析笔者所在医院近10年收治的15例术后血栓性静脉炎的病例，按发病就诊时间分为早、中、晚三期，采用三种方法治疗。早期6例口服罗红霉素和头孢克肟配肠溶阿斯匹林；中期4例静滴菌必治及川芎嗪、补充肝素治疗；晚期5例除中期用药外加局部溶栓治疗。结果 临床观察显示：发热、患肢肿胀、WBC、N变化等。早期6例，4～5d痊愈。中期4例，治疗5～7d痊愈。晚期5例，7～9d痊愈，均无并发症，随访1～3年无复发。结论充分认识本病的早期临床特点是尽早诊治的关键措施，即减轻患者痛苦，又减轻患者经济负担，局部溶栓效果确切，义无并发症。

Objective To explore the early diagnosis and effective treatment to post -operative lower limb thrombophlebitis. Methods The clinical data of 15 cases of post - operative lower limb thrombophlebitis in the past 10 years are retrospectively analyzed. According to the treatment time, they are divided to 3 terms： early - term, medium - term, later - term, which are treated respectively. We take roxithromycin, cefixime and enteric - coated aspirin for 6 cases of the early - term. We take ceftriaxone, tetramethylpyrazine and addition of heparin for 4 cases of the medium - term. Besides the same treatment of medium - term, additionally we take local thrombolysis. Results Clinical observation show that ： changes of fever, limb swelling, WBC and N et al. 6 cases of the early - term recovered in 4 -5 days. 4 cases of the medium - term recov- ered in 5 - 7 days. 5 cases of the later - medium recovered in 7 - 9 days. There＇s no complications of all the 15 cases, and no recurrence in the following 1 - 3 years. Conclusion Fully being aware of the eariy clinical manifestation of this disease is not only significant to the diagnosis smd treatment, but also release patients＇suffering, reduce the financial burden, improve the local thrombolysis and no complications.